Effects of Unilateral Vestibular Deafferentation on the Linear Vestibulo-Ocular Reflex Evoked by Impulsive Eccentric Roll Rotation

2003 ◽  
Vol 89 (2) ◽  
pp. 969-978 ◽  
Author(s):  
S. T. Aw ◽  
M. J. Todd ◽  
L. A. McGarvie ◽  
A. A. Migliaccio ◽  
G. M. Halmagyi
Keyword(s):  
Rotation Axis ◽  
Normal Subjects ◽  
Stimulus Onset ◽  
Whole Body ◽  
Viewing Distance ◽  
Ocular Reflex ◽  
Significant Difference ◽  
Vestibulo Ocular Reflex ◽  
Unilateral Vestibular Deafferentation ◽  
Eye Velocity

The effects of unilateral vestibular deafferentation (UVD) on the linear vestibulo-ocular reflex (LVOR) were studied by measuring three-dimensional eye movements in seven UVD subjects evoked by impulsive eccentric roll rotation while viewing an earth-fixed target at 200, 300, or 600 mm and comparing their responses to 11 normal subjects. The stimulus, a whole-body roll of approximately 1°, with the eye positioned 815 mm eccentric to the rotation axis, produced an inter-aural linear acceleration of approximately 0.5 g and a roll acceleration of approximately 360°/s2. The responses generated by the LVOR comprise horizontal eye rotations. Horizontal eye velocity at 100 ms from stimulus onset in UVD subjects was significantly lower than in normal subjects for all viewing distances, with no significant difference between ipsilesional and contralesional responses. LVOR acceleration gain, defined as the slope of actual horizontal eye velocity divided by the slope of ideal horizontal eye velocity during a 30-ms period starting 70 ms from stimulus onset, was bilaterally significantly reduced in UVD subjects at all viewing distances. Acceleration gain from all viewing distances was 1.04 ± 0.28 in normal subjects, and in UVD subjects was 0.49 ± 0.23 for ipsilesional and 0.63 ± 0.27 for contralesional acceleration. LVOR enhancement in the first 100 ms by near viewing was still present in UVD subjects. LVOR latency in UVD subjects (approximately 39 ms) was not significantly different from normal subjects (approximately 36 ms). After UVD, LVOR is bilaterally and largely symmetrically reduced, but latency remains unchanged and modulation by viewing distance is still present.

Effects of adaptation of vestibulo-ocular reflex function on manual target localization

2000 ◽  
Vol 10 (2) ◽  
pp. 75-86 ◽  
Author(s):  
Jacob J. Bloomberg ◽  
Lauren A. Merkle ◽  
Susan R. Barry ◽  
William P. Huebner ◽  
Helen S. Cohen ◽  
...  
Keyword(s):  
Adaptive Modulation ◽  
Normal Subjects ◽  
Target Localization ◽  
Whole Body ◽  
Spatial Coding ◽  
Ocular Reflex ◽  
Manual Responses ◽  
Vestibular Cues ◽  
Before And After ◽  
Vestibulo Ocular Reflex

The goal of the present study was to determine if adaptive modulation of vestibulo-ocular reflex (VOR) function is associated with commensurate alterations in manual target localization. To measure the effects of adapted VOR on manual responses we developed the Vestibular-Contingent Pointing Test (VCP). In the VCP test, subjects pointed to a remembered target following passive whole body rotation in the dark. In the first experiment, subjects performed VCP before and after wearing 0.5X minifying lenses that adaptively attenuate horizontal VOR gain. Results showed that adaptive reduction in horizontal VOR gain was accompanied by a commensurate change in VCP performance. In the second experiment, bilaterally labyrinthine deficient (LD) subjects were tested to confirm that vestibular cues were central to the spatial coding of both eye and hand movements during VCP. LD subjects performed significantly worse than normal subjects. These results demonstrate that adaptive change in VOR can lead to alterations in manual target localization.

Head Impulses After Unilateral Vestibular Deafferentation Validate Ewald’s Second Law1

1991 ◽  
Vol 1 (2) ◽  
pp. 187-197
Author(s):  
G.M. Halmagyi ◽  
I.S. Curthoys ◽  
P.D. Cremer ◽  
C.J. Henderson ◽  
M. Staples
Keyword(s):  
Head Rotation ◽  
Normal Subjects ◽  
Head Movements ◽  
Afferent Neurons ◽  
Horizontal Semicircular Canal ◽  
Ocular Reflex ◽  
Vestibulo Ocular Reflex ◽  
Unilateral Vestibular Deafferentation ◽  
Head Impulses ◽  
Stimulation Of

To determine the relative contributions of ampullofugal (AF) and ampullopetal (AP) stimulation of the horizontal semicircular canal (HSCC) to the horizontal vestibulo-ocular reflex (HVOR), 12 patients were studied 1 year after total unilateral vestibular deafferentation (UVD). Compensatory eye movement responses to impulses of horizontal head rotation were studied using magnetic search coils. The head impulses were rapid (up to 3000 deg/sec/sec) passive, unpredictable, step displacements of horizontal angular head position with respect to the trunk. Tbe results from these 12 patients were compared with results from 30 normal subjects. An HVOR deficit was found to each side. The HVOR in response to head impulses toward the deafferented side, a response generated exclusively by ampullofugal stimulation of the single functioning HSCC, was severely deficient with an average gain of 0.25; the HVOR in response to head impulses toward the intact side, a response generated exclusively by ampullopetal stimulation of the single functioning HSCC, was mildly but significantly deficient compared with normal subjects. These results show that rapid, unpredictable head movements, unlike slow, predictable head movements, do demonstrate the AP-AF HVOR asymmetry, which could be expected from consideration of the behavior of single vestibular afferent neurons, an asymmetry that is expressed by Ewald’s 2nd Law.

Ocular Motor Responses to Abrupt Interaural Head Translation in Normal Humans

2003 ◽  
Vol 90 (2) ◽  
pp. 887-902 ◽  
Author(s):  
Stefano Ramat ◽  
David S. Zee
Keyword(s):  
Viewing Distance ◽  
Head Acceleration ◽  
Ideal Behavior ◽  
Head Velocity ◽  
Ocular Reflex ◽  
High Acceleration ◽  
Median Position ◽  
Vestibulo Ocular Reflex ◽  
Normal Humans ◽  
Eye Velocity

We characterized the interaural translational vestibulo-ocular reflex (tVOR) in 6 normal humans to brief (∼200 ms), high-acceleration (0.4–1.4 g) stimuli, while they fixed targets at 15 or 30 cm. The latency was 19 ± 5 ms at 15-cm and 20 ± 12 ms at 30-cm viewing. The gain was quantified using the ratio of actual to ideal behavior. The median position gain (at time of peak head velocity) was 0.38 and 0.37, and the median velocity gain, 0.52 and 0.62, at 15- and 30-cm viewing, respectively. These results suggest the tVOR scales proportionally at these viewing distances. Likewise, at both viewing distances, peak eye velocity scaled linearly with peak head velocity and gain was independent of peak head acceleration. A saccade commonly occurred in the compensatory direction, with a greater latency (165 vs. 145 ms) and lesser amplitude (1.8 vs. 3.2 deg) at 30- than 15-cm viewing. Even with saccades, the overall gain at the end of head movement was still considerably undercompensatory (medians 0.68 and 0.77 at 15- and 30-cm viewing). Monocular viewing was also assessed at 15-cm viewing. In 4 of 6 subjects, gains were the same as during binocular viewing and scaled closely with vergence angle. In sum the low tVOR gain and scaling of the response with viewing distance and head velocity extend previous results to higher acceleration stimuli. tVOR latency (∼20 ms) was lower than previously reported. Saccades are an integral part of the tVOR, and also scale with viewing distance.

Human Horizontal Vestibulo-Ocular Reflex Initiation: Effects of Acceleration, Target Distance, and Unilateral Deafferentation

1998 ◽  
Vol 80 (3) ◽  
pp. 1151-1166 ◽  
Author(s):  
Benjamin T. Crane ◽  
Joseph L. Demer
Keyword(s):  
Semicircular Canals ◽  
Linear Acceleration ◽  
Head Rotation ◽  
Target Distance ◽  
Whole Body ◽  
Viewing Distance ◽  
Gaze Stabilization ◽  
Ocular Reflex ◽  
Acceleration Period ◽  
Vestibulo Ocular Reflex

Crane, Benjamin T. and Joseph L. Demer. Human horizontal vestibulo-ocular reflex initiation: effects of acceleration, target distance, and unilateral deafferentation. J. Neurophysiol. 80: 1151–1166, 1998. The vestibulo-ocular reflex (VOR) generates compensatory eye movements in response to angular and linear acceleration sensed by semicircular canals and otoliths respectively. Gaze stabilization demands that responses to linear acceleration be adjusted for viewing distance. This study in humans determined the transient dynamics of VOR initiation during angular and linear acceleration, modification of the VOR by viewing distance, and the effect of unilateral deafferentation. Combinations of unpredictable transient angular and linear head rotation were created by whole body yaw rotation about eccentric axes: 10 cm anterior to eyes, centered between eyes, centered between otoliths, and 20 cm posterior to eyes. Subjects viewed a target 500, 30, or 15 cm away that was extinguished immediately before rotation. There were four stimulus intensities up to a maximum peak acceleration of 2,800°/s2. The normal initial VOR response began 7–10 ms after onset of head rotation. Response gain (eye velocity/head velocity) for near as compared with distant targets was increased as early as 1–11 ms after onset of eye movement; this initial effect was independent of linear acceleration. An otolith mediated effect modified VOR gain depending on both linear acceleration and target distance beginning 25–90 ms after onset of head rotation. For rotational axes anterior to the otoliths, VOR gain for the nearest target was initially higher but later became less than that for the far target. There was no gain correction for the physical separation between the eyes and otoliths. With lower acceleration, there was a nonlinear reduction in the early gain increase with close targets although later otolith-mediated effects were not affected. In subjects with unilateral vestibular deafferentation, the initial VOR was quantitatively normal for rotation toward the intact side. When rotating toward the deafferented side, VOR gain remained less than half of normal for at least the initial 55 ms when head acceleration was highest and was not modulated by target distance. After this initial high acceleration period, gain increased to a degree depending on target distance and axis eccentricity. This behavior suggests that the commissural VOR pathways are not modulated by target distance. These results suggest that the VOR is initially driven by short latency ipsilateral target distance dependent and bilateral target-distance independent canal pathways. After 25 ms, otolith inputs contribute to the target distance dependent pathway. The otolith input later grows to eventually dominate the target distance mediated effect. When otolith input is unavailable the target distance mediated canal component persists. Modulation of canal mediated responses by target distance is a nonlinear effect, most evident for high head accelerations.

Effect of Eyelid Closure and Vocalization upon the Vestibulo-Ocular Reflex during Rotational Testing

1989 ◽  
Vol 98 (7) ◽  
pp. 548-550 ◽  
Author(s):  
Barbara M. Weissman ◽  
Barbara L. Ekelman ◽  
Alfred O. DiScenna ◽  
R. John Leigh
Keyword(s):  
Mental Arithmetic ◽  
Normal Subjects ◽  
Complete Darkness ◽  
Eyelid Closure ◽  
Ocular Reflex ◽  
Eyes Closed ◽  
Vestibulo Ocular Reflex ◽  
Eyes Open ◽  
Eye Velocity ◽  
Better Than

During rotational testing of the vestibulo-ocular reflex (VOR), eyelid closure is known to reduce both VOR gain and nystagmus frequency. We tested the effect of vocalization, such as counting aloud, on the VOR in ten healthy normal subjects. Velocity-step and sinusoidal stimuli were applied in complete darkness under three test conditions: 1) eyes open, performing mental arithmetic; 2) eyes closed, performing mental arithmetic; and 3) eyes closed and vocalizing. With velocity-step stimuli, eyelid closure significantly reduced VOR gain (peak eye velocity/head velocity) and nystagmus duration, but vocalization reversed these effects and resulted in the highest gain values. Similar results were obtained for VOR gain during sinusoidal stimulation. This study demonstrates that when eyelid closure is necessary or unavoidable during VOR testing, continuous vocalization ensures responses that are comparable to or better than those with eyes open in darkness.

Torsional vestibulo-ocular reflex during whole-body oscillation in the upright and the supine position: II. Responses in patients after vestibular neuritis

2004 ◽  
Vol 14 (4) ◽  
pp. 353-359
Author(s):  
A. Schmid-Priscoveanu ◽  
A.A. Kori ◽  
D. Straumann
Keyword(s):  
Supine Position ◽  
Semicircular Canal ◽  
Low Frequency ◽  
Phase Changes ◽  
Vestibular Neuritis ◽  
Whole Body ◽  
Healthy Human ◽  
Phase Lead ◽  
Ocular Reflex ◽  
Vestibulo Ocular Reflex

In a recent study we demonstrated that otolith input modifies the torsional angular vestibulo-ocular reflex (torVOR) of healthy human subjects: Compared to turntable oscillations in supine position, oscillations in upright position increased the gain of torVOR by 0.1 and cancelled the phase lead originating from low-frequency semicircular canal signals. We asked whether these otolith-related changes of torVOR are still present in patients after vestibular neuritis (VN). Eight patients were sinusoidally oscillated about their naso-occipital axis in supine (canal-only stimulation) and upright (canal-and-otolith stimulation) position. Three-dimensional eye movements were recorded with dual search coils. The patients showed similar otolith-related gain and phase changes of the torVOR as healthy subjects: the gain increased by about 0.1 (p < 0.05) and the low-frequency phase lead from semicircular canal signals was abolished. These results indicate that otolith function after VN is still sufficient to interact with semicircular canal signals to optimize torsional gaze stabilization when the head is upright.

Viewing Target Distance Influences the Vestibulo-Ocular Reflex Gain when Assessed Using the Video Head Impulse Test

2018 ◽  
Vol 23 (5) ◽  
pp. 285-289 ◽  
Author(s):  
Patricia Castro ◽  
Sara Sena Esteves ◽  
Florencia Lerchundi ◽  
David Buckwell ◽  
Michael A. Gresty ◽  
...  
Keyword(s):  
Head Movements ◽  
Target Distance ◽  
Head Impulse Test ◽  
Video Head Impulse Test ◽  
Gaze Stabilization ◽  
Head Impulse ◽  
Ocular Reflex ◽  
Significant Difference ◽  
Vestibulo Ocular Reflex ◽  
Reflex Gain

Gaze stabilization during head movements is provided by the vestibulo-ocular reflex (VOR). Clinical assessment of this reflex is performed using the video Head Impulse Test (vHIT). To date, the influence of different fixation distances on VOR gain using the vHIT has not been explored. We assessed the effect of target proximity on the horizontal VOR using the vHIT. Firstly, we assessed the VOR gain in 18 healthy subjects with 5 viewing target distances (150, 40, 30, 20, and 10 cm). The gain increased significantly as the viewing target distance decreased. A second experiment on 10 subjects was performed in darkness whilst the subjects were imagining targets at different distances. There were significant inverse relationships between gain and distance for both the real and the imaginary targets. There was a statistically significant difference between light and dark gains for the 20- and 40-cm distances, but not for the 150-cm distance. Theoretical VOR gains for different target distances were calculated and compared with those found in light and darkness. The increase in gain observed for near targets was lower than predicted by geometrical calculations, implying a physiological ceiling effect on the VOR. The VOR gain in the dark, as assessed with the vHIT, demonstrates an enhancement associated with a reduced target distance.

Modification of compensatory saccades after aVOR gain recovery

2007 ◽  
Vol 16 (6) ◽  
pp. 285-291
Author(s):  
Michael C. Schubert ◽  
Americo A. Migliaccio ◽  
Charles C. Della Santina
Keyword(s):  
Head Rotation ◽  
Rehabilitation Program ◽  
Inverse Dynamic ◽  
Gaze Stabilization ◽  
Ocular Reflex ◽  
Dynamic Relationship ◽  
Vestibulo Ocular Reflex ◽  
Functional Relevance ◽  
Vestibular Neuronitis ◽  
Eye Velocity

The recruitment of extra-vestibular mechanisms to assist a deficient angular vestibulo-ocular reflex (aVOR) during ipsilesional head rotations is well established and includes saccades of reduced latency that occur in the direction of the lesioned aVOR, termed compensatory saccades (CS). Less well known is the functional relevance of these unique saccades. Here we report a 42 y.o. male diagnosed with right unilateral vestibular hypofunction due to vestibular neuronitis who underwent a vestibular rehabilitation program including gaze stabilization exercises. After three weeks, he had a significant improvement in his ability to see clearly during head rotation. Our data show a reduction in the recruitment and magnitude of CS as well as improved peripheral aVOR gain (eye velocity/head velocity) and retinal eye velocity. Our data suggest an inverse, dynamic relationship between the recruitment of CS and the gain of the aVOR.

scholarly journals New advances regarding adaptation of the vestibulo-ocular reflex

2019 ◽  
Vol 122 (2) ◽  
pp. 644-658 ◽  
Author(s):  
Michael C. Schubert ◽  
Americo A. Migliaccio
Keyword(s):  
Training Session ◽  
Whole Body ◽  
Velocity Error ◽  
Ocular Reflex ◽  
Vestibulo Ocular Reflex ◽  
Vor Adaptation ◽  
Effects Of Aging ◽  
Repeated Training ◽  
Head Rotations ◽  
Efferent Vestibular System

This is a review summarizing the development of vestibulo-ocular reflex (VOR) adaptation behavior with relevance to rehabilitation over the last 10 years and examines VOR adaptation using head-on-body rotations, specifically the influence of training target contrast, position and velocity error signal, active vs. passive head rotations, and sinusoidal vs. head impulse rotations. This review discusses optimization of the single VOR adaptation training session, consolidation between repeated training sessions, and dynamic incremental VOR adaptation. Also considered are the effects of aging and the roles of the efferent vestibular system, cerebellum, and otoliths on angular VOR adaptation. Finally, this review examines VOR adaptation findings in studies using whole body rotations.

Sign in / Sign up

Export Citation Format

Share Document